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General NPI Number Information
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NPI Number | 1548321417
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Entity Type | Individual
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Provider Name | LESLIE TRAWIN L.C.S.W
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 88 UNIVERSITY PL #803
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City | NEW YORK
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State | NY
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Zip | 10003-4513
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Country | US
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Telephone | 212-675-1748
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Fax |
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Provider Business Mailing Address
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Address Line | 18 W 20TH ST
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City | BAYONNE
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State | NJ
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Zip | 07002-3612
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Country | US
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Telephone | 212-675-1748
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R056563-1
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License Number State | NY
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